Complex Dental Function - Aesthetic Correction Planning - Case #4

As tooth structures wear down with age, the physical properties of our bite (occlusion) changes simultaneously. Natural resting and biting positions can become detrimental to our health if left untreated.  Headaches, migraines, jaw pain, and neck pain can result from abnormal occlusion.

Likewise, bite collapse can increase wear and tear on anterior tooth structures, change facial features, make smiling difficult, and even cause us to look older than our real age.  Genetics may also play a role in how the teeth, gums, and jaws come together.

Overcoming Genetics in Dentistry

Our patient had several goals that needed to be attained. The gummy smile appearance was first and foremost. Halting and reversing the cumulative effects of a collapsing bite were also important.

Modifications for his jaw structures needed to be changed incrementally, through a step by step process to assure natural repositioning of the jaws. Corrections made too quickly usually result in the jaw relationships becoming worse.

Best Treatment Outline

Through careful analysis and comprehensive diagnosis were able to make proper choices for restoring the bite, esthetics, and balance of the jaws. 

Selective gum shaping and recontouring was used as needed to create harmony across the new gingival arches on the treated teeth.

The anterior resizing required the need for bite stabilization of the posterior teeth, therefore the bite (occlusion) was slowly stabilized using onlays on his back teeth.

Finally, Davinci Veneers were used selectively to resize the anterior teeth to the cosmetic specifications made by the client.